Envaya

FCS Narrative Report

Introduction

Kilimanjaro Community Services Trust Fund
KICOSET
HOME BASED CARE TRAINING
FCS/RSG/1/10/240
Dates: FEBRUARY 2011Quarter(s): APRIL 2011
DAVIS G. SHIRIMA
TEL +255754082968
E. MAIL: dshirima2005@yahoo.com

Project Description

Civil Society Capacity Strengthening
The project aimed at building the capacity of the organization in service delivery by providing Home based care skills to the community volunteers. The skills provided focused not only on proper provision of home based care services but also sensitizing community members on their role in the provision of home based care services for project sustainability.
RegionDistrictWardVillagesTotal Beneficiaries
KilimanjaroMoshi MunicipalityLonguo 'B'7690
KilimanjaroMoshi MunicipalityRau12929
KilimanjaroMoshi MunicipalityKaranga11502
 Direct BeneficiariesIndirect Beneficiaries
Female31916
Male9712
Total401628

Project Outputs and Activities

40 skilled home based care volunteers in place
Six Home Based Care sensitization meetings conducted in Longuo, Karanga and Rau
-To conduct a Five days workshop on Home Based Care training to forty community volunteers including People Living With HIV
-To conduct Six Home Based Care sensitization meetings to the community
-To provide Home Based Care to terminally ill patients
- To monitor the implementation of the project
- To write report and submit to FCS
- A five days workshop on Home Based Care skills training was conducted at YMCA venue on the first week of February from Tuesday 1st to Saturday 5th. Fifty community volunteers including people living with HIV participated. The workshop which was conducted by the facilitators from Home based care department of Moshi Municipal Council aimed at building the capacity of the community volunteers in Home Based care service provision and sensitizing community members to play a role in providing home based care to the terminally ill patients around their community.
- 39 sensitization meetings were conducted by the community volunteers. These meetings were done in all the three wards as follows; Soweto 17, Karanga 5, longuo 12 and Rau 5. Karanga ward was recently divided into two wards of Karanga and Soweto.
24 house holds were visited for home based care servises which also included provision of education to family members. the education covered stigma and descrimination, diet, cleanliness, management of opportunistic infections, prevention of new infections etc.
C. If any difference, what is the reason?
Six sensitization meetings were planned. These meetings were expected to go parallel with ward or mitaa meetings conducted by the local Government in the respective area. Two strong challenges which interfered our implementation raised in the first month. One of he challenges was some meetings were full of noises more especially those with agendas of agricultural vouchers as people were claiming of unfairness. This made us to change our strategies and focuses some group of people in the community. some of these groups are "vikoba", small christian communities, small bus stops, markets and parent meetings in schools.
D. Resources used
A five days Home Based Care workshop cost was 3,082,000
Sensitization meetings and home based care provision cost 840,000
monitoring cost was 360,000
Reporting 346,000
A. Intended Results as per appendix E. Key Performance Indicators in the contract
40 community volunteers trained for home based care skills
6 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
B. Actual Outcomes/changes
40 community volunteers trained for home based care skills
39 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
C. Other outcomes/changes originated from implementing the project
1433 people were sensitized during the 39 sensitization meetings held in the three wards.
24 house holds were visited for home based care services where by 63 patients and 132 family members benefited from home based care service and education from the community volunteers.
6 meetings were to be held parallel with the wards and mitaa meeting organised by the local learders in the wards but due to mis understandings in these meetings and some wards not to have them within our implementation period we opt to change our strategy. we decided to use small groups like during "VIKOBA" , small christian and school parents meetings. we also use small gatherings along the bus stop and market places. This strategy increased our meetings to 39 meetings.

Project Outcomes and Impact

Intended Results as per appendix E. Key Performance Indicators in the contract
40 community volunteers trained for home based care skills
6 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
40 community volunteers trained for home based care skills
39 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
Other outcomes/changes originated from implementing the project
1433 people were sensitized during the 39 sensitization meetings held in the three wards.
24 house holds were visited for home based care services where by 63 patients and 132 family members benefited from home based care service and education from the community volunteers.
6 meetings were to be held parallel with the wards and mitaa meeting organized by the local larders in the wards but due to misunderstandings in these meetings and some wards not to have them within our implementation period we opt to change our strategy. we decided to use small groups like during "VIKOBA" , small christian and school parents meetings. we also use small gatherings along the bus stop and market places. This strategy increased our meetings to 39 meetings.

Lessons Learned

Explanation
Community volunteers can do a lot if capacitated. Our volunteers are people with low level of education and they can be seen as people who can not influence others in anything and more especially in sensitizing other in their role in home based care provision. For this case we have lent that people are capable if facilitated.
Still there are people who hide AIDS patients and this is stima and Discrimination which is still around our community. Our volunteers manage to take out 4 hidden patient, 2 from soweto and 2 from Rau after recognizing these from their visits and managed to educate their family members. Now the patients are out and accessing support and other services

Challenges

ChallengeHow it was overcome
Provision of home based care is also facilitated by home based care KIT which was a challenge to us as e do not have HBC KIT We conducted referrals for some opportunistic infections which we could manage by having HBC KIT
We expected to use local government meetings organized by local leaders but there were poor management of these meetings We used other groups of people like VIKOBA, small christian communities and parents school meetings. we also used gatherings in bus stops and markets
Some people neglected the use of ARVs claiming that they have been cured by the medicine provided by the one man in Loliondo. This has increased the number of bed ridden patientsContinuing education to people not to abandon ARVs inspite of their beliefs

Linkages

StakeholderHow you worked with them
Health Centres. these are CCP, Rau, Majengo, Shirima Tunda, Sabasaba, Magereza and Korongoni Health centersReferrals of patients
Karanga, Rau and Longuo 'B' Ward OfficesCollaboration and permit to have our agenda in their meetings and also identification of house holds with patients
Small community groups. These are small christian communities, "VIKOBA" and schoolsTo incorporate our agenda within their agendas

Future Plans

Activities Planned1st Month2nd Month3rd Month
No more activities. Our project was only for three months

Beneficiaries Reached

    Direct BeneficiariesIndirect Beneficiaries
WidowsFemale129
Male417
Total546
People living with HIV/AIDSFemale325
Male538
Total863
ElderlyFemale0162
Male0184
Total0346
OrphansFemale0157
Male0171
Total0328
ChildrenFemale0151
Male0233
Total0384
DisabledFemale0(No Response)
Male0(No Response)
Total0(No Response)
YouthFemale25188
Male2273
Total27461
OtherFemale(No Response)(No Response)
Male(No Response)(No Response)
Total(No Response)(No Response)
(No Response)

Events Attended

Type of EventWhenLessonsActions Taken
Manage Your Grant (MYG)february 2011Financial management and reportingimproved financial management and reporting system

Attachments

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